Steve Babb, MPH CDC Office on Smoking and Health National Association of County and City Health Officials webcast January 24, 2007 The Health Consequences of Secondhand Smoke Exposure: What It Means To You TM

2006 Surgeon Generals Report

I am grateful to be here today and to be able to say unequivocally that the debate is over. The science is clear: secondhand smoke is not a mere annoyance, but a serious health hazard that causes premature death and disease in children and nonsmoking adults. Surgeon General Richard Carmona June 27, 2006

29th Surgeon General's Report on Smoking and Health Systematic review of published scientific evidence Conclusions based upon standardized criteria of causality. Surgeon General Report Process

Senior Scientific Editor: Dr. Jonathan Samet 22 National experts served as primary chapter authors 40 International experts served as chapter peer reviewers 30 Senior Scientific Reviewers with diverse perspectives. Surgeon General Report Scientific Review

Secondhand smoke causes premature death and disease in children and in nonsmoking adults Children – SIDS, acute respiratory infections, ear problems, more severe asthma – Respiratory symptoms and slowed lung growth Adults – Coronary heart disease and lung cancer. Major Conclusions Health Effects

The scientific evidence indicates that there is no risk-free level of exposure to secondhand smoke. Major Conclusions Health Effects

Millions of Americans still exposed to secondhand smoke at home and work Smoke-free indoor spaces fully protect nonsmokers from secondhand smoke exposure Separating smokers from nonsmokers, cleaning the air, and ventilating buildings cannot eliminate exposure. Major Conclusions Exposure

More than 126 million Americans exposed at home and work Over half of all children exposed Prevalence varies based on age, gender, ethnicity, income, occupation, and location. Secondhand Smoke Exposure

Interferes with normal functioning of the heart, blood, and vascular systems in ways that increase the risk of a cardiac event Brief exposure can cause blood platelets to become stickier Damages the lining of blood vessels Exposures at home or at work increase risk of heart disease by 25% to 30% in nonsmokers.. Secondhand Smoke Cardiovascular Effects

. Secondhand Smoke Secondhand smoke increases lung cancer among non-smokers Secondhand smoke contains more than 50 carcinogens Exposures at home or at work increase risk of lung cancer by 20% to 30% in nonsmokers Lung Cancer

. There is no risk-free level exposure Surgeon General concluded that breathing even a little secondhand smoke can be dangerous Inhaling even a small amount can damage your cells and set the cancer process in motion Brief exposures can have immediate effects on the cardiovascular system that are almost as large as those observed in active smokers Secondhand smoke contains many chemicals that can quickly irritate and damage the lining of your throat and lungs

Sudden Infant Death Syndrome (SIDS) Acute respiratory infections Middle ear disease More severe asthma Respiratory symptoms Slowed lung growth. Health Effects on Children

Smoke-free policies fully protect nonsmokers Cleaning the air or ventilating buildings cannot eliminate exposure No such thing as a no-smoking section. Eliminating Exposure

Children who live in homes where smoking is allowed have higher levels of exposure Almost one in four American children aged 3 to 19 live in a household with at least one smoker. Secondhand Smoke in the Home

The workplace is a major source of exposure for adults Nonsmoker exposure in the workplace linked to increased lung cancer and heart disease risk Blue collar and service workers less likely to be protected by smoke-free workplace policies Restaurant and bar workers far less likely to be protected by smoke-free workplace policies. Secondhand Smoke in the Workplace

Steve Babb, MPH CDC Office on Smoking and Health National Association of County and City Health Officials webcast January 24, 2007 The Health Consequences of Secondhand Smoke Exposure: What It Means To You TM The findings and conclusions in this presentation are those of the author and do not necessarily represent the views of the Centers for Disease Control and Prevention